Provider Demographics
NPI:1841492766
Name:SUTTON, LOIS A (PHD)
Entity type:Individual
Prefix:DR
First Name:LOIS
Middle Name:A
Last Name:SUTTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 E EIGHT ONE HALF STREET
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-1716
Mailing Address - Country:US
Mailing Address - Phone:713-862-8857
Mailing Address - Fax:
Practice Address - Street 1:AUDIOLOGY VAMC
Practice Address - Street 2:2002 HOLCOMBE BLVD
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:713-791-1414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50270231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist